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Are your kids at risk?
From taking death-defying walks high above the ground to ingesting potentially lethal substances in dangerous ways to riding atop speeding vehicles, some teens will stop at nothing for a thrill. Beyond simple fun and games, the following potentially deadly teen antics made the news in 2012.

Originating in Russia, skywalking refers to an act where teens scale high buildings and structures without safety equipment and then photograph themselves at the pinnacle. Clearly not for those with a fear of heights, the craze took off when19-year-old Russian student and photographer Marat Dupri began climbing onto rooftops to capture sky-high views. This past April, a gust of wind swept five skywalking teens to their death as they attempted to climb in the Chernobyl exclusion zone. "Teenagers are constantly finding new ways to test limits within themselves and their environment, often experimenting with risky activities," says Dr. Dean Leav, a licensed psychologist specializing in children and teens in Orange County, Calif. This one could easily have a deadly outcome.

This disturbing act of ingesting alcohol through the rectum is also known as an alcohol enema. The teen "chugs" the alcohol through a tube or hose in an effort to get intoxicated quickly and efficiently. Several dangers exist, says Dr. Morris Silver, a gastroenterologist at Tri-City Regional Medical Center in Hawaiian Gardens, Calif. "The physical act can cause local and long-term damage to the sphincter with a risk of infection." In addition, Silver says, the method increases the risk of toxicity versus ingesting the alcohol orally, since the stomach normally breaks down some of the alcohol. Butt chugging also eliminates the body's natural reaction to copious amounts of alcohol. "You're likely get sick before you reach lethal limits if you drink it," says Silver. Plus, the lack of alcohol on the breath may delay treatment.

"Surfing" while standing on the roof or hood of a car while a buddy drives at 40 mph can land a teen in the hospital with irreversible injuries, says Dr. Babak Sarani, an associate professor of surgery and the director of Trauma and Acute Care Surgery at George Washington University in Washington, D.C. "In some cases they fall off the car and the car runs over them." Head injuries are the most common result Sarani sees in the trauma unit, although other car-surfing teens with less serious injuries end up in the emergency room. "Speed combined with the injury makes it worse," says Sarani, who sees approximately one type a month during the warmer months when the activity becomes more popular. Injuries can be devastating and involve serious brain injuries, far beyond a concussion, says Sarani. Most victims range in age from 16 years old up to their early 20s.

This new version of Russian Roulette begins with teens raiding their parent's medicine cabinets for whatever prescription and over-the-counter pills they can find. They bring the pills to the party and mix them together into shot glasses or other cups and take them all at once, to see the effect. The combinations may include Oxycontin, Percocet, Valium and Xanax. "The dangers are tremendous," says Raskin. "In addition to seizures, respiratory depression, and death, one could be allergic to a pill and go into shock, or it could be the combination of one or more pills with alcohol that could lead to additive effects and death." Numerous recent news reports link pill parties to teens suffering from irreparable organ damage and even death.

Pouring a shot of vodka directly into the eye, a practice known as vodka eyeballing, is not only an inefficient way to get drunk but could cause serious eye damage and even blindness, says Dr. Ivan R. Schwab, a cornea specialist, professor of ophthalmology at the University of California, Davis, School of Medicine and a clinical correspondent with the American Academy of Ophthalmology. "Pouring vodka directly into his eye risks damaging the surface epithelial cells - often causing pain and infection. More seriously, it's rare but 'eyeballing' can also lead to permanent vision damage by killing endothelial cells in deeper layers of the eye's cornea." Eyeballers do not even get the quick high they seek because of the small volume of vodka absorbed by the conjunctiva and cornea, says Schwab.

This slang term refers to a recreational drug popularized by the hip-hop community. Ingredients vary but typically contain a combination of prescription-strength cough syrup containing promethazine (an antihistamine) and codeine (an opiate), along with Sprite, 7-Up or grape soda and purple Jolly Rancher candies. "The combination can slow respiration," says Dr. Damon Raskin, a board-certified internist specializing in addiction detoxification at the Cliffside Malibu Treatment Center in Malibu, Calif. "If teens combine it with another central nervous system depressant like alcohol they could pass out or stop breathing." Raskin says teens often get the cough medicine from their parents' medicine cabinet. Pauviera Linson, a 14-year-old girl from St. Paul, Minn., is believed to have died from drinking the mixture in August of this year, according to news reports.

As a potent source of alcohol, hand sanitizer enables teens to get a quick buzz -- and it can be lethal. "Hand sanitizer is 60 percent alcohol," says Raskin. "So instead of taking a few shots of tequila or going through the hassle of finding other alcohol, teens have to ingest only a small amount of hand sanitizer to get drunk." Some inventive teens even find a way to separate the alcohol from the rest of the chemicals and end up with pure alcohol. Since hand sanitizer is readily available in grocery stores, their parents don't usually catch on, says Raskin. "Teens can easily get alcohol poisoning this way. They should get to the ER and into a rehab program if they show an alcohol dependency.

As a practice that makes rubbing salt into an open wound sound like child's play, the salt and ice challenge creates true frostbite, says Dr. Debra Jaliman, a New York-based dermatologist and the author of Skin Rules: Trade Secrets from a Top New York Dermatologist (St. Martin's Press, 2012). The challenge involves wetting the skin, putting salt on it and then applying an ice cube with pressure that creates a burning sensation. Adding salt to ice lowers the temperature of the skin, making it colder than the normal freezing temperature of water, 32 degrees Fahrenheit. The mixture causes frostbite by soaking up heat from the surrounding skin cells. "It does terrible damage to the skin and is very painful," says Jaliman. "It causes frostbite and second degree cold burns with blistering, possible scarring and potentially a secondary infection from the opening in the skin."

Also known as Spice, Skunk, Yucatan Fire and Moon Rocks, synthetic marijuana refers to a wide variety of herbal mixtures containing psychoactive ingredients from a number of different plants, according to the National Institute on Drug Abuse. It ranks second only to marijuana in usage among high school seniors. "It contains the active ingredients of marijuana synthesized from other chemicals so you get a similar high," says Raskin. Spice used to be widely available and sold in gas stations and head shops, but it's now banned and deemed as illegal as marijuana itself, so it's harder to obtain. "We don't know exactly what's in it, so we don't understand the full dangers, but we know that teens can get into a car accident as if they're drunk or stoned on the real marijuana," says Raskin.

Cinnamon challenge

This harmful teen challenge involves placing a spoonful of cinnamon in the mouth and trying to swallow it without water. "To ingest a spoonful of cinnamon in one attempt is dangerous because the cinnamon doesn't dissolve in water or your mouth, for that matter," says Dr. Stanley Wu, the assistant medical director of Harris Health Ben Taub Hospital Level I Trauma Center in Houston. "Normally the saliva in your mouth mixes with what's in your mouth so you can swallow it." Trying to swallow cinnamon this way can lead to coughing and vomiting. This can then cause aspiration or inhalation of the cinnamon, which often results in irritation, infection and, in some cases, permanent lung damage and collapse, says Wu.

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This article made me laugh several times. Just picturing a group of testosterone filled teen males shoving hoses up each other's asshole to get drunk is a mental picture I would have been better off not having.

Vodka in the eye seems like it would hurt.. Probably the most far fetched claim in the article full of far fetched information

Pill parties were common in my day.. someone would have a box or bottle filled with random pills. The pill supplier had a vague idea of what each pill would do, because he randomly took some of them from his medicine cabinet and bought random pills when he found them for sale.. we would only take one at a time unless we were sure of what they were. I ended up taking morphine sulphate and klonopin one night and ruined my chances of getting laid. (early 90's when about 18-19 years of age) Now that I look back at it, I feel stupid for being so naïve!

We used to car surf all the time. Or we would do this thing where we all held hands around the car (one or two people on the hood, the back, and the sides) while the driver would try break the chain. When one of us broke usually a few would go down and some would manage to hang on to the car. The last person hanging on would win. At the time we thought that was much safer and more fun than just car surfing. Now I can see how easily it would have been for one of us to have gone under the car and dragged or ran over. It was dark, you didn't know who was still hanging on and who had fallen off unless it was one of the people who's hand you were holding. One time I fell off first and the driver didn't notice so they initally just left me in the street of some neighborhood at some odd hour of the morning. They found me like 15 minutes later though.

We also only did this in empty neighborhood streets. We never went that fast, 35mph I think would have been pushing it. The goal wasn't to throw us off using pure speed but rather through sudden stops and circles, etc. We didn't want to die, we just wanted to have fun. No one ever got seriously hurt, road rash was common, some dislocated shoulders and sprained wrists were all that ever happened.

All of these things are dangerous and stupid however I would do ANY and ALL of these things THRICE before I ever would try "skywalking."

The "pill parties" have to seriously be the dumbest of all. Even when I was in middle school and early high school, interested in Rx drugs, I would never take anything I hadn''t verified the contents of, and even then I was extremely picky

The "pill parties" have to seriously be the dumbest of all. Even when I was in middle school and early high school, interested in Rx drugs, I would never take anything I hadn''t verified the contents of, and even then I was extremely picky

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Two years in and it's been pretty sweet. :thumbsup: I heard of pill parties but never thought it was real I can't imagine it being a common place thing. If what was in your parents medicine cabinet could get you fucked up you think mom N pop are storing it in your reach?